Oxford BioBank » Socio-epidemiological

CONSENT FORM

Name of Study:

Evaluating associations between social mobility and wellbeing through a novel socio-epidemiological index

Who is conducting this study?

This study is being conducted by Prof Stanley Ulijaszek (Principal Investigator) and Dr Karin Eli (Research Fellow), at the University of Oxford’s Institute of Social and Cultural Anthropology; Prof Fredrik Karpe (Co-Investigator) and Dr Katherine Pinnick (Research Fellow), at the Oxford BioBank and Oxford Centre for Diabetes, Endocrinology and Metabolism; and Dr Osea Giuntella (Visiting Assistant Professor), at the University of Pittsburgh's Department of Economics.

To contact the researchers via email:
Dr Karin Eli: Karin.Eli@anthro.ox.ac.uk

To contact the researchers via post:
Dr Karin Eli, Institute of Social and Cultural Anthropology, 51/53 Banbury Road, Oxford, OX2 6PE

What is the purpose of this study?

The study aims to assess links between socioeconomic, social mobility, and wellbeing attributes. The data collected through this study will also be used to develop a brief survey instrument to assess these links on a large scale, both nationally and internationally. We anticipate that the survey instrument developed through this study will be used in diverse research studies across the social and the biomedical sciences, as well as in public health, economic, and education policy applications.

By ticking these boxes, I confirm that:
1. I have read the information sheet, had the opportunity to ask questions, and received satisfactory answers;
- I confirm
2. I understand that this project has been reviewed by, and received ethics clearance through, the University of Oxford Central University Research Ethics Committee;
- I confirm
3. I understand that my participation is voluntary and that I am free to withdraw myself or my data at any time, without giving any reason, and without any adverse consequences;
- I confirm
4. I understand who will have access to personal data provided;
- I confirm
5. I understand how personal data will be stored and what will happen to the data at the end of the project;
- I confirm
6. I understand that this study will form the basis for a research questionnaire, peer-reviewed articles, project proposals and presentations;
- I confirm
7. I understand how to raise concerns or make a complaint;
- I confirm
8. I am over 18 years of age at the time of signing;
- I confirm
9. I agree to take part in the study.
- I confirm
CAPTCHA
You can continue to the questionnaire if you are happy to confirm all of the above consent statements. If you do not agree with one or more of the consent statements, please exit the webpage.

30. What is the occupation of your spouse/partner? If you do not have a spouse/partner, please enter N/A.
31. What are the occupations of your three closest friends?
Gender Occupation
32. What are the occupations of your brothers and sisters?
Gender Occupation
33a. What is your father's mother's year of birth? If you’re not certain, please provide an estimate.
33a. What is your father's mother's year of birth? If you’re not certain, please provide an estimate.
33b. What is your father's father's year of birth? If you’re not certain, please provide an estimate.
33c. What is your mother's mother's year of birth? If you’re not certain, please provide an estimate.
33d. What is your mother's father's year of birth? If you’re not certain, please provide an estimate.
34. At what age did your father’s mother leave school? If you’re not certain, please provide an estimate. If your father’s mother attended university, please indicate this.
35. At what age did your father’s father leave school? If you’re not certain, please provide an estimate. If your father’s father attended university, please indicate this.
36. At what age did your mother’s mother leave school? If you’re not certain, please provide an estimate. If your mother’s mother attended university, please indicate this.
37. At what age did your mother’s father leave school? If you’re not certain, please provide an estimate. If your mother’s father attended university, please indicate this.
38. When your father was 14 years old, what was his father’s occupation? If you don't know, please enter N/A.
39. When your father was 14 years old, what was his mother’s occupation? If you don't know, please enter N/A.
40. When your mother was 14 years old, what was her father’s occupation? If you don't know, please enter N/A.
41. When your mother was 14 years old, what was her mother’s occupation? If you don't know, please enter N/A.

83a. What is your relationship status?
- Single (never married)
- In a relationship; not married, not in a civil partnership, and not living together
- In a relationship; living together, but not married and not in a civil partnership
- Married (first marriage)
- Civil partnership
- Separated (but still legally married)
- Divorced
- Divorced and remarried
- Widowed
- Widowed and remarried
- Other
83b. If other please specify:
84. How many children do you have? (If none, please enter 0)
85. Have you ever been a carer for a child, partner, other relative, or close friend with a serious or life-limiting illness?
- No
- Yes – for my child
- Yes – for my partner
- Yes – for another relative
- Yes – for a close friend
86. Were you born in the UK?
- No
- Yes
86b. If 'No' please specify country of birth:
87. How long have you lived in the UK (in years)?
Please enter a number from 0 to 120.
88. What is your village, town, or city of origin?
89. How long have you lived in Oxfordshire (in years)?
Please enter a number from 0 to 120.
90. If you have adult children, what are their occupations? If you do not have adult children, please enter N/A.
Gender Occupation

Socio-epidemiological Questionnaire

Step 1 of 10

CONSENT FORM

Name of Study:

Who is conducting this study?

What is the purpose of this study?

By ticking these boxes, I confirm that:

You can continue to the questionnaire if you are happy to confirm all of the above consent statements. If you do not agree with one or more of the consent statements, please exit the webpage.

Links1

Links2

Gender	Occupation

Gender	Occupation

Gender	Occupation